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Routine Care


Our team provides skilled nursing and other routine services, such as dietary counseling, IV therapy, wound care, and more in order to meet patient needs.


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Routine CareIV Therapy

IV Therapy, also called infusion therapy, allows patients to receive medication without visiting a healthcare facility. Through IV therapy, patients may receive antibiotics, diuretics, blood transfusions, hydrating fluids, chemotherapy, pain medication, nebulizer treatment, steroids, therapeutic phlebotomy, and vaccinations. Patients diagnosed with rheumatoid arthritis, multiple sclerosis, asthma, Crohn’s disease, and infections may benefit from our in-home IV therapy services. The California Transitional Care team is committed to offering convenient, safe, and effective care in the comfort of a patient’s home. The typical treatment time is 30 minutes to one hour for each IV treatment.
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Laboratory-Testing
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Routine CareLaboratory Testing

California Transitional Care can assist patients with finding a provider to obtain laboratory tests for patients diagnosed with complex or chronic conditions, such as diabetes, asthma, chronic kidney disease, osteoporosis, cancer, chronic obstructive pulmonary disease, and arthritis. A skilled laboratory provider can facilitate blood draws and coordinate the shipment of samples to the laboratory to ensure continuity of care. We have a network of healthcare professionals and partners we trust to deliver the care each of our patients deserves.

Routine CareWound Care

California Transitional Care offers wound care to patients recovering from diabetic ulcers, pressure ulcers, burns, infections, amputations, and arterial and venous ulcers. Our team of nurses and healthcare practitioners will regularly bandage the wound, assess the wound, and apply dressings as necessary. In-home wound care is designed to facilitate rapid recovery without any complications, such as infection. Each wound is carefully assessed during a home visit and patients receive counseling for proper nutrition and supplementation. Lifestyle factors such as smoking, obesity, alcoholism, drug use, and malnutrition will also be addressed during wound care.
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Wound-Care
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Pharmacy Services
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Routine CarePharmacy Services

California Transitional Care assists patients in finding pharmacy services for obtaining necessary medication. Patients diagnosed with complex and chronic conditions, such as asthma, diabetes, chronic kidney disease, osteoporosis, chronic obstructive pulmonary disease, arthritis, and cancer rely on medication to manage pain and other symptoms. In addition, patients transitioning between different locations or levels of care may require pharmacy services during their season of change. Our healthcare team can assist with finding a local pharmacy and creating a daily medication schedule.

Routine CareSkilled Nursing

Skilled nursing is specialized care for patients diagnosed with acute, chronic, and/or complex conditions. Services may include wound care, respiratory therapy monitoring, medication management, speech therapy, occupational therapy, IV therapy, speech-language therapy, and physical therapy. Our team of skilled healthcare professionals includes registered nurses, audiologists, medical directors, speech/language pathologists, and nutritional counselors. Depending on the patient’s condition, California Transitional Care will develop a personalized treatment plan to support the patient during their transition.
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Skilled Nursing
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Dietary Counseling
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Routine CareDietary Counseling

Dietary counseling encompasses dietary patterns and behaviors with the goal of improving a medical condition or managing symptoms. Patients with elevated blood sugar, high cholesterol, blood pressure issues, and other chronic diseases may experience improvements in health with one-on-one dietary counseling from California Transitional Care. Our team of nutritionists, nurses, and other healthcare professionals will help patients make lasting changes in their diet and lifestyle as part of the overall treatment plan. In-home visits will involve a review of dietary patterns, eating behaviors, and overall nutritional health.

Routine CarePain Management

Pain management covers a broad range of conditions, including postoperative pain, chronic pain, and pain from recent injury or illness. Numerous modalities are involved in the management of pain, depending on the source. Physical therapy, rehabilitation, medication, and nutrition all play a role in helping patients manage pain. The California Transitional Care team will evaluate the patient’s pain, review diagnostic tests, and create a personalized plan for each patient. In-home pain management can include assistance with medication, physical therapy exercises, and wound care. In-home pain management will include coordination with pain management specialists who offer home or telemedicine visits. Medication for pain management also requires regular urine screenings and patient monitoring no less than every 30 days due to federal regulations.
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Pain Management
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Social Work
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Routine CareSocial Work

California Transitional Care can connect patients with social work services to help patients create their advance directives. Social workers can encourage patients to make and record their end-of-life decisions before they experience significant mental and physical decline. Advance directives may include a description of treatment preferences, desired comfort level, final words to loved ones, and other end-of-life requests. In-home social work services are designed to maximize patient comfort and peace of mind and ease the burden for family members.
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Quality

Health Care Management

Without Compromise

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transitional care therapist helping patient walk through kitchen
dietary counseling provided as a part of transitional care
skilled nurse assisting a patient at home

WE HAVE ANSWERSFrequently Asked Questions

What is transitional care?

Transitional care occurs when a patient moves from one type of care to another. Broadly, this can include moving from one hospital unit to another, one specialty healthcare provider to another, or from one setting to another. California Transitional Care assists patients moving from one setting to another (from hospital to home).

Is transitional care the same thing as rehab?

In many ways, transitional care and a rehabilitation unit are similar. Transitional care providers offer many of the same services, such as physical therapy and occupational therapy. However, traditional rehab involves a short-term stay in a rehabilitation center, where transitional care provides a much wider scope of services for patients in their own homes who are transitioning to life outside of the hospital.

Why is transitional care important?

Many patients feel nervous about leaving the full-time care provided in a hospital, even if they are happy about being able to return home. Transitional care helps to ease those nerves and provides vulnerable patients with a safe transition from one type of care to another.

What is an example of transitional care?

If you have recently had surgery and are discharged to go home, you may not be able to completely care for yourself or go right back to your level of previous activity. But you’re also not in a level of acute distress that would keep you hospitalized. Transitional care allows you to return home while having assistance in the form of wound care, dietary counseling, physical therapy, and anything else that’s needed to get you back to yourself without needing full-time care.